Revisiting your Cybersecurity Strategy and Culture with Michael Archuleta, Director of Information Technology Services / Site CIO - HIPAA Information Security Officer
Hey Outcomes Rocket friends, thanks for tuning in to the podcast once again. As a leader in health care, you have big ideas great products, a story to tell, and are looking for ways to improve your reach and scale your business. However there's one tiny problem. Health care is tough to navigate and the typical sales cycle is low. That's why you should consider starting your own podcast as part of your sales and marketing strategy. At the Outcomes Rocket, I've been able to reach thousands of people every single month that I wouldn't have otherwise been able to reach if I had not started my podcast. Having this organic reach enables me to get the feedback necessary to create a podcast that delivers value that you are looking for. And the same thing goes if you start a podcast for what you could learn from your customers. The best thing about podcasting in healthcare is that we are currently at the ground level, meaning that the number of people in healthcare listening to podcasts is small but growing rapidly. I put together a free checklist for you to check out the steps on what it takes to create your own podcast. You could find that at outcomesrocket.health/podcast. Check it out today and find a new way to leverage the sales, marketing and outcomes of your business. That's outcomesrocket.health/podcast.
: Welcome back once again to the Outcomes Rocket podcast where we chat with today's most successful and inspiring health leaders. Today I have a Michael Archuleta on the podcast again for the second time. He is actually the second person ever to be on here for the second time. Lots of things have happened since we started the podcast a year and a half ago and so that's why Michael's back. He's a Director of Information Technology Services CIO and information security officer at Mount San Rafael hospital and the bridge Care Health Network. He's recognized as a top hospital and health system CIO to know and named as a rising star in health care. Michael is a cutting edge innovative visionary leader who possesses strong leadership skills with an extensive experience and a proven track record of driving increased levels of productivity, profits, high integrity customer relationships skills, and expert problem solving approaches. These are all things that are key to any organization in healthcare and it is a privilege to have this talented leader on our podcast. Michael welcome back.
: Hey thank you very much. Definitely an honor to be here. You're doing so such an amazing work with this podcast. Thank you very much for really bringing in a lot of great focus towards health care.
: Hey I appreciate that Michael and you know you know very well that it's all about collaboration and connecting with the right people so I'm glad you're willing to join us again. Now you just got done with a meeting over there in Denver didn't you? The health care IT meeting?
: Yeah. Absolutely. I was at the conference cochairs is here for the Denver Health I.T. summit. It was basically hosted by healthcare informatics which we have an overall health I.T. Summit Series that happens throughout different states. We really gathered a lot of leaders some amazing healthcare CIOs, CIS CEOs, CMIOs. It was really a huge talent of individuals and we had the amazing Nick Adkins there as well to you know really about the power of connection. So really a big pink socks focus we really try to drive that drive moving forward because such a critical element. We've had some amazing people from you know learning about patient engagement. We've had Deb Gash which the Senior Vice President Chief Digital Officer at St. Luke's health system we had Mr. Richard Staining. He's a really big C so and really understanding and dealing with the growing medical device. So we really try to combine what are we doing on a patient engagement standpoint, what are we doing on a physician standpoint, how are we dealing with physician burnout, and then also of course cooperating and incorporating a lot of cybersecurity understandings from medical devices to how do we basically improve on our overall cybersecurity strategy. I actually did a presentation on really focusing on really having that specific human firewall built into your organization because I always say at the end of the day we always talk about technology, technology, technology but forget about what's important and that is the human element that is the important element that still focusing on cybersecurity awareness and really managing today's healthcare information explosion was really one of my main focuses of trying to kind of have individuals understand that you know looking at the ransomware how it's going how it's basically moving into specific trends and how we at times as organizations forget to incorporate the basic elements of the importance of what it takes to make it good cybersecurity strategy and that's building the culture man that having them understand. Because if you look at the numbers and basically there was one numbers so 91 percent of all ransomware attacks came through a what phishing e-mail and those phishing e-mails were attacking who? Those are the employees your people. So the thing is is I think if we don't continue to put strong cyber security employee awareness training programs in place doing overall simulated phishing attacks putting in those basic elements into an organization we're basically going to continue to see all these threats all, these breaches etc.. We at the end of the day need to build that overall human firewall. And what I really love speaking about to is going backwards. We here in this organization we've really been focused towards patient centric technology and patient centered technology is really something that we're all trying to lean towards. Because I always say at the end of the day my friend we all have a CEO, if you're in health care you have a new CEO bottom line and then you see this patient. And if we do not continue to focus on what that patient needs how do we improve patient outcomes, patient improvement, patient experience. Yes physician experience, yes clinical experience, yes improvement of the overall systems but focusing on our overall outcome which is saving lives, improving care - that's what's critical my friend and looking at having a very strong patient centric technology strategy in your organization to improve patient engagement is such a critical element. Hands down.
: Michael. Love your passion for this area of the business cybersecurity is no joke and you always make it so simple for us to understand how this concept of the human firewall you know the people are the ones that can help. 91 percent is a huge number. So what are you guys and gals doing in your organization to build that culture. You're a human firewall and if you haven't had a chance go to the podcast website outcomesrocket.health type in Michael Archuleta in the search bar and you'll find his first podcast where he really takes a deep dive into these topics and it's just it's brilliant. The approach that he takes it's a simple approach that can yield some major security are alive for your organization and the other thing too if you haven't checked out the Denver Health I.T. summit he does it every year and it's something that you guys have to check out so if you're curious about it if you're in a Denver area or you just want to go spend some time in the mountains around this time of the year check that out. I'll leave a link for that conference in the shownotes so you could check that out. So what else is that going on, Michael, I mean what's new with you?
: You know man it's there's so many new things as you are fully aware of. And I mean we're all busy. That's the bottom line. But one amazing thing that we're basically focusing on this year and as I stated we're really looking at overall patient centric strategy is I'm actually one of the new judges for this year's prime health 2018 health challenge which is basically pretty amazing just to kind of give an overall intro the prime health challenge was basically started in 2014 to really galvanize the the overall digital health ecosystem in Colorado and accelerate the adoption of digital health technologies really including patient engagement applications data analytics and virtual care technologies and really looking at this is this is an overall group of individuals that look at these these healthcare startups look at what these organizations are basically doing and try to incorporate judges that are basically associated with health care organizations that in the end result would be beneficial for them to treat an overall pilot agreement program with them. And right now we have 13 companies that have made the semifinals rounds for this year's 2018 prime health challenge which is absolutely amazing. And the prime health challenge and evaluation process are really helping to drive meaningful collaboration between entrepreneurs and Colorado healthcare systems applicants from around the country were really assessed by industry leaders based on their social and health impact Market Readiness and business models. With support from the Colorado Health Foundation the community is really in a unique position to improve health care not only in Colorado but across the country. It's been an absolute amazing privilege to be part of this as well too.
: It's pretty cool.
: And for the listeners if you're curious about prime health very cool chart take sort of experience in health care go to http://primehealthco.com/. That's http://primehealthco.com/ to check out this event that Michael is talking to us about.
: That's correct. So definitely check that out. Some amazing things. There's really no overall and I'll share this link as well with your group. But there's a news and media and basically showing that making the grade 13 companies from Asama surrounds them to UTM prime helped a show. The 13 semifinalists also has some specific links to the overall groups and it's really a good thing to look at and really incorporate to see with these amazing healthcare startups are basically doing. And what I like to say too is digital health innovation starts with collaboration. That's the bottom line. And we must leave our egos at the door and move the healthcare industry forward and together. And I always like as I stated like quoting Henry Ford and Henry Ford with this quote coming together is a beginning, keeping together is progress, and working together is success and with proper collaboration we can work together to transform healthcare and that is such a huge thing is I think being in technology being a business leader - txhe bottom line is sometimes we basically live in silos and it's time. ILOs and basically collaborate and there's so much egos and so many different personalities and different groups and different settings, committees, boards etc.. But we must all just basically leave that at the door bring our ideas together and try to transform the industries. It becomes very frustrating when yes we all have different opinions but we need to come together to come out with that specific best concept because at the end of the day we work for the patients. Our new CEO is the patients and we are here for the patients. If you work in healthcare you are hear from the patients. I don't care what your actual title is. You're here for the patient and we're basically looking at utilizing tools like technology to basically improve our overall outcomes. And it's it's an amazing thing. What we can basically do as an organization and having a good patient centric technology strategy in place and having that Bayang and understanding what we are doing as an organization and how important it is for the patient is basically the end result. Hands out.
: I love that Michael and call the action here folks is how can you get involved. What things can you do what extracurriculars can you do that aren't going to really take that much time and it will yield results. An example like you know Mike's meeting that he had bringing together leaders from around the health I.T. cyber security space at the outcomes rocket were teaming up with the IU School of Medicine for the healthcare thinkathon, right. We're getting a group of healthcare leaders and disrupters from around the globe under one roof one day and I think attending these events and also creating events like this are a great way to follow through on Michael's call to action which is let's connect the silos to make it better. Michael what would you say this year has been your number one focus?
: This year my number one focus has really been towards improving the overall outcomes of patient care. Improving better physician experience because at the end of the day as an organization we need to make sure that the specific tools that we are giving our patients are beneficial both inside and outside of our organization. And that's basically the bottom line and I'm always about how do we improve that aspect. How do we improve those outcomes. And really I think collaborating with these healthcare startups has been a huge thing for myself and kind of speaking a little off to it as I'm also an actual board advisor for a group which is a healthcare Startup Canada. Basically a overall real world health experience and behaviour informed decision to really improve better healthcare. The group is called Health self-care catalyst. The amazing group of individuals of what they're basically trying to do with their overall storyline application which basically brings in patient portals and tries to create an overall centre based application where patients can go in and obtain information from their amatory EMR their patient EMR and really come together and has two really good structured specific data that's going to be beneficial for them because at the end result is we look at all these patient portals and there's so many different patient portals. I mean we receive radiology results in one facility then I go to another facility and I basically have other results and I have now new portal access as well to how we come together and we basically look at trying to create a specific domain strategy that will allow us to incorporate some good technologies and good new enhanced technologies like fire that healthcare and rapidly resource allocation. That's been a huge thing. The age of 7 greoup. So being a technology adviser for this group has really been a pretty amazing thing. And self-care catalysis doing some great great things moving forward. And they had some amazing collaboration. What they basically have looked at because their overall focus is is really a patients solution really focusing on intelligence and analytics and really trying to deliver value from patient centric real world evidence to inform product lifecycle management and behavioral change interventions which is such a huge thing.
: That's interesting you know. And so right now there's there's a health care leader listening to this he or she is driving to work or back from work maybe mowing the lawn and they're listening to your story and they're thinking man you know what this is interesting. Like I never even thought about engaging startups. And for that health care leader that's looking for a new way, looking to think outside the box. What advice would you give them? How do they do it? What are best practices and what are what are the downsides?
: Absolutely. So you know of course at the end of the day we must be open minded. Yeah that's the bottom line. I think a lot of individuals over my in my lifetime I've I've seen them all at times just focus on a specific straight road. But when it comes to innovation and when it comes to disruption you must look straight left right up down. Those are different strategies and different areas that will come together to kind of determine OK what are my problems, what are my issues as an organization right now as we speak and incorporating healthcare Charlotte would that be a benefit to this organization. What does your overall business plan look like. Is there any type of return of investment back to the organization that would be beneficial if we did incorporate the specific start-up moving forward and really looking at trying to drive that innovation in some of the cons of course you know they are a healthcare star but some of the actual pros is this can be an overall good piloting agreement which at times can be a very, very low investment to no investment at all which in the end result you're basically improving your overall outcomes. You're looking at what some of your problems are as an organization and you're really trying to drive innovation and improvements moving forward. So what kind of talk about a startup that we've we've incorporated so the group that we basically brought in and we've been working with them as an actual business partner because I always like saying I'm looking for business partners not vendors I'm looking for individuals that my success is your success and your successes is ours. Having that model in place. So we incorporated a group called careloop. So careloop is a healthcare startup out of Colorado. And our overall impact was.
: Is this Michael Walsh?
: Different one? Careloop not cariloop. Okay gotcha. Got it, I'm with you.
: Yeah definitely check it out. We love to put out a link out there as well to show the impact that we were looking at as improve care coordination between Mt. San Raphael hospital and bridge care health network care teams. So we are part of the bridge care health network which basically consists of four twenty five critical access hospitals in a 1 300 bed level 2 trauma center in southern Colorado. So the thing is is between these different organizations. We all have different electronic medical records systems. So how do we improve that care coordination from one facility to another and try to bring in a very incorporated story line of understanding. Okay. Now I have the information as a physician to basically treat better health care outcomes for that specific patient that I am now taking care of. And of course as I stated looking at patient centric technologies being a main center point of my overall strategy for 2018 looking at of course increase patient satisfaction which is such a huge thing and really optimizing workflow and trying to measure survey results and quantifiable data points which was extremely critical and looking at a reimbursement standpoint and looking at that value based payment initiatives and really trying to automate and capture CTT codes that we were basically capturing during an actual care coordination or a discharge status between one specific patient to another organization. And when we did our overall return investment analysis and we determine how many specific discharges we had from the organization and we looked at the specific codes were pretty beneficial and some of the CBT codes that we basically looked at were the 9 and 4 9 5 which basically comes with 156 dollar reimbursement rate and then the 9 9 4 9 6 which is the 230 dollar reimbursement rate and they're all focused towards that discharge process that weren't being captured in the organization. And once we basically coordinate and we establish how many specific discharges we have in the organization we kind of came back and we determined that looking on a reimbursement standpoint we saw a 500000 dollar that's been back into the organization just by incorporating this specific application. I mean as I said it definitely doesn't. I'm not for the money. Of course you know you definitely need money to basically run an organization. But at the end result we did see that there was huge value and good payment initiatives in moving forward with this overall organization. And I think looking at it I think on the physician experience improvement standpoint - the providers were able to communicate privately with the care team to coordinate care all while increasing communication and best experience for patients and families. And I think the overall careloop platform allows all information to be available at the provider's fingertips. And then of course being on the security standpoint in a secure environment both at their workstation and to the application of the mobile device. So this careloop value proposition with such misuse. And they basically I was honored to see this crew make it to the top 13 semifinalists. I'm amazed individuals and you storm basically one of the cofounders co-founder and CEO of the organization and Dr. Fiji got such an amazing individual as well co-founder of the organization Sean Switzer the V.P. of overall success. These three key individuals have been such a great business partner to our overall organization and our overall cause. It's been absolutely mind blowing and very beneficial and honestly on the standpoint there too talking about shared value and talking about improve care coordination and those individuals who have just blown a lot of these other groups and were very impressed and were very honored to be as an actual strong business partner with this group.
: Now that's such a great story Michael and listeners, this is an example of what can happen when you think outside of the default box because traditional healthcare look we've got options are good but in order to do the things like Michael just talked us through - this better health coordination, this catching of CBT codes that were being missed to the tune of half a million dollars. It takes looking up, looking sideways, looking down and not just forward. So I love Michael's passion and his ability to do this and this is why Michael's been doing so well and in what he's doing in his career. You think about what you could do and think outside the box like he has. And I promise you that great things will follow. Michael this has been a blast. The time does fly. I want to just thank you again for spending time with us. And hey, any closing thoughts for the listeners this time around.
: Absolutely. We can't solve problems by using the same kind of thinking we used when we created them. Let's come together, let's collaborate and let's transform healthcare. Thank you very much.
: Hey Michael, so if people want to connect with you. Where do they reach out?
: Absolutely. So I'm very active on Twitter. So you can find me @Michael81082 and also on LinkedIn as well too. would love to collaborate and work together.
: Folks, take up Michael on this opportunity. He is an outstanding leader in healthcare that is a collaborator. I've collaborated with him myself and have really enjoyed the time that that I spent with him. So Michael thank you so much again for spending time with us. We really appreciate it.
: Thank you very much.
Outcomes Rocket friends, thanks for tuning in to the podcast once again. As a leader in health care, you have big ideas great products, a story to tell, and are looking for ways to improve your reach and scale your business. However there's one tiny problem. Health care is tough to navigate and the typical sales cycle is low. That's why you should consider starting your own podcast as part of your sales and marketing strategy. At the Outcomes Rocket, I've been able to reach thousands of people every single month that I wouldn't have otherwise been able to reach if I had not started my podcast. Having this organic reach enables me to get the feedback necessary to create a podcast that delivers value that you are looking for. And the same thing goes if you start a podcast for what you could learn from your customers. The best thing about podcasting in healthcare is that we are currently at the ground level, meaning that the number of people in healthcare listening to podcasts is small but growing rapidly. I put together a free checklist for you to check out the steps on what it takes to create your own podcast. You could find that at outcomesrocket.health/podcast. Check it out today and find a new way to leverage the sales, marketing and outcomes of your business. That's outcomesrocket.health/podcast.
Best Way to Contact Michael:
Twitter - @Michael81082
Linkedin - Michael Archuleta